KASEY WYATT MD
NPI 1972246312
Family Medicine in Santa Clara, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment

2441 MISSION COLLEGE BLVD, SANTA CLARA, CA 95054(800) 478-8837 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kasey Wyatt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASEY WYATT MD (NPI 1972246312) is an individual family medicine provider in Santa Clara, California, licensed in California (A189136) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972246312

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKASEY WYATTCredential: MD

Location Address2441 MISSION COLLEGE BLVDSanta Clara, CA 95054-1214

Mailing AddressPo Box 276950Sacramento, CA 95827-6950

Phone(800) 478-8837

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 14, 2022

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1972246312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A189136

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2441 MISSION COLLEGE BLVD, Santa Clara, CA 95054

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kasey Wyatt Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749784114

PECOS Enrollment IDI20250918001891

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.